Mr. David Jonathan Butlak is a Statesville, North Carolina based nurse anesthetist with 25 years of experience as Anesthesia Administration. He completed he graduation in 2000. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. David Jonathan Butlak is 160852 for Anesthesia Administration in North Carolina. his current practice location is 218 Old Mocksville Rd, Statesville. Patients can reach him at 704-838-7570. Mr. David Jonathan Butlak is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1881656189. Mr. David Jonathan Butlak is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mr. David Jonathan Butlak speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
25+ years
Medical School Attended:
Other
Graduation Year:
2000
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
218 Old Mocksville Rd, Statesville, North Carolina, 28625-1930
Phone:
704-838-7570
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7719928712
Enrollment ID:
I20050519001000
NPI Number:
1881656189
NPI Enumeration Date:
04 Apr, 2006
NPI Last Update On:
28 Feb, 2011
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. David Jonathan Butlak are as mentioned below.
License Number
Specialization
State
Status
160852
Anesthesia Administration
North Carolina
Primary
2690
Anesthesia Administration
South Carolina
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Davis Regional Medical Center (340144)
Statesville, NC
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. David Jonathan Butlak has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Butlak Anesthesia Solutions Pa (5597942946)
4
East Carolina Anesthesia Associates Pllc (5092720813)
367
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. David Jonathan Butlak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
AN1433
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
200 Whiterock Dr, Mount Holly, North Carolina
Zip:
28120-8101
Phone Number:
704-326-6886
Fax Number:
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Patients can reach Mr. David Jonathan Butlak at 218 Old Mocksville Rd, Statesville, North Carolina or can call to book an appointment on 704-838-7570.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.